中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2013年
8期
809-812
,共4页
史洁%耿同超%乔立艳%王英%谢静晖%黄方杰%左焕琮
史潔%耿同超%喬立豔%王英%謝靜暉%黃方傑%左煥琮
사길%경동초%교립염%왕영%사정휘%황방걸%좌환종
皮层下脑梗死%功能性近红外光学成像%脑功能重组
皮層下腦梗死%功能性近紅外光學成像%腦功能重組
피층하뇌경사%공능성근홍외광학성상%뇌공능중조
Subcortical infarction%Functional near infrared spectroscopy%Cortical functional reorganization
目的 评价皮层下脑梗死患者发病后早期运动相关的脑激活部位及其与Fugl-Meyer 评分的相关性.方法 对发病后14d内的皮层下脑梗死患者和志愿者进行近红外脑功能成像检查.实验采用模块设计、抓握任务,经数据处理、统计和脑功能区定位,比较脑梗死组和对照组激活区域的差别.结果 对照组仅激活右侧大脑半球初级感觉运动皮层,脑梗死组还激活左侧初级感觉运动皮层和前额叶,激活范围较对照组广泛(P<0.01).Oxy-Hb数据与Fugl-Meyer评分之间的相关性分析差异无统计学意义(P>0.05).结论 脑梗死发生后早期即可出现皮层功能重组,fNIRS适用于监测卒中后运动相关的脑激活状态.
目的 評價皮層下腦梗死患者髮病後早期運動相關的腦激活部位及其與Fugl-Meyer 評分的相關性.方法 對髮病後14d內的皮層下腦梗死患者和誌願者進行近紅外腦功能成像檢查.實驗採用模塊設計、抓握任務,經數據處理、統計和腦功能區定位,比較腦梗死組和對照組激活區域的差彆.結果 對照組僅激活右側大腦半毬初級感覺運動皮層,腦梗死組還激活左側初級感覺運動皮層和前額葉,激活範圍較對照組廣汎(P<0.01).Oxy-Hb數據與Fugl-Meyer評分之間的相關性分析差異無統計學意義(P>0.05).結論 腦梗死髮生後早期即可齣現皮層功能重組,fNIRS適用于鑑測卒中後運動相關的腦激活狀態.
목적 평개피층하뇌경사환자발병후조기운동상관적뇌격활부위급기여Fugl-Meyer 평분적상관성.방법 대발병후14d내적피층하뇌경사환자화지원자진행근홍외뇌공능성상검사.실험채용모괴설계、조악임무,경수거처리、통계화뇌공능구정위,비교뇌경사조화대조조격활구역적차별.결과 대조조부격활우측대뇌반구초급감각운동피층,뇌경사조환격활좌측초급감각운동피층화전액협,격활범위교대조조엄범(P<0.01).Oxy-Hb수거여Fugl-Meyer평분지간적상관성분석차이무통계학의의(P>0.05).결론 뇌경사발생후조기즉가출현피층공능중조,fNIRS괄용우감측졸중후운동상관적뇌격활상태.
Objective To evaluate the motor-related activation of cortical regions in patients who suffered hemiparesis after subcortical infarction in acute phase and relationship between functional near infrared spectroscopy (fNIRS) signal and Fugl-Meyer score.Methods We employed fNIRS to evaluate cortical activation with affected hand movement in 8 patients after subcortical infarction causing mild to moderate left hemiparesis in early phase(≤ 14 days).Eight right-handed normal subjects without stroke history served as controls.Block design of hand grasp task was used.The activated channels were compared between patients and controls.Correlative analysis was performed between fNIRS signal and Fugl-Meyer score in patients.Results The activated cortices in patients were larger than that of controls.Controls activated the right primary sensorimotor cortex (CH14、8、15、20 和 21,P < 0.01) during left hand grasp task.However,patients showed extended activation not only in the right motor cortex(CH15、8、2、22、3、20、16、14、27、35、41、1、10 和 36,P < 0.01) but also in the left motor cortex including prefrontal cortex (CH5 和 CH37,P < 0.01)during the same task.No statistical correlation was found between fNIRS signal and Fugl-Meyer score.Conclusions Cortical reorganization can be detected early after subcortical infarction by using fNIRS.The result of this study demonstrated that fNIRS was suitable for studying poststroke alterations in cortical response to motor stimulation.